"Wrap-up rounds," in which students, residents, and faculty physicians involved with patient care in a clinic gather to discuss the clinic session, are advocated. They allow a structured educational program to take place in an ambulatory care center without interfering with patient flow and care. (MLW)

Today's school health services are made complex by multiple laws and regulatory bodies. Three fundamental movements are revealed by an examination of decades of legislative actions: concern over basic health care, the special needs of the handicapped, and the involvement of many specialized disciplines. (JD)

The chronologic dimension of continuity of physician care (repeat visits to the same provider) is examined. This continuity is measured by the number of repeat visits to trainees under multiple time intervals of trainee exposure; part-time schedule is compared with full-time exposure. (MLW)

A potential generalizable approach for assessing, eliciting, and codifying criteria to select candidates for positions in the Hennepin County Medical Center primary care internal medicine residency program is described. The approach involves a faculty questionnaire designed to examine the importance of various types of criteria. (JMD)

A survey of the interprofessional education activities included in 54 physician's assistant and 60 nurse practitioner programs is reported. A variety of methods are being used to achieve the objectives of effective team delivery of primary health care, including the mixing of students in both classroom and clinical settings. (LBH)

A survey of 83 primary care physicians found less than half felt family violence was a significant problem in their patient populations. Almost all saw a need for education about violence during medical training, but many would not participate. One-quarter were trained to diagnose domestic violence. Family and female physicians were more…

Discussion of efforts to improve availability of primary health care in rural areas addresses student selection, curriculum, training environment, and special inducements, and controversial areas such as rural training sites, merging of specialties, and compromise of residency continuity. It is proposed that basic institutional philosophical…

Discusses the failure of National Health Service Corps (NHSC) programs to attract and retain minority medical students. Cites the program's failure to place minority graduates in appropriate urban settings. Includes statistical data on minority medical school applicants, enrollment, and graduates. (FMW)

A program combining pediatrics and internal medicine is described. The four-year program, focusing on ambulatory care, alternates six-month rotations in each field and includes clinic training. Success factors include comparison of outpatient and inpatient care, developing an ambulatory practice to support resident salaries, and preparation for…

The Interdisciplinary Generalist Curriculum Project was developed to encourage schools of medicine and colleges of osteopathic medicine to implement interdisciplinary generalist curricula in the preclinical years. Five sites were competitively established as demonstration projects, and rigorous attention to creating and maintaining an…

A study of 2 groups of University of Kentucky medical graduates (319 high achievers and 276 low achievers) from 1964 to 1991 found more low achievers chose primary care specialties, especially in recent years. It is concluded that low achievers may have fewer career options available to them. More systematic recruitment and selection is…

Examined supplement use among 742 athletes. Thirty-eight percent used supplements with usage not differing by gender or grade in school. Those wishing to participate in college sports more often consumed supplements. Healthy growth, illness, and sports performance given as reasons for use. Parents, doctors, and coaches influenced usage. (RJM)

Over 18 months, Medical College of Wisconsin students identified what they had learned during their clerkships in each of seven learning settings; the 3,030 outcomes were divided into 48 categories, and the ten most-frequent learning outcomes are reported. No significant differences by time of year or rural vs. urban clerkships were found.…

A study of 120 British adults with intellectual disability found they had higher risk factors of developing coronary heart disease and stroke than the general population. There was a greater incidence of obesity and considerably lower physical activity levels than the general population. Several also had abnormal cholesterol readings. (CR)

Context: Prior study suggests that contextual characteristics of medical schools (e.g., state demographics, public vs private, NIH research effort) predict output of rural physicians without also considering the effects of the medical schools' own policies and programs. Purpose: This study examines medical school commitment to rural policies and…